Pre-emptive local analgesia in video-assisted thoracic surgery sympathectomy☆

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Video-assisted thoracic surgery sympathectomy for hyperhidrosis.

HYPOTHESIS Video-assisted thoracic surgery sympathectomy is efficacious for patients with hyperhidrosis. DESIGN An experience with patients undergoing bilateral video-assisted thoracic surgery sympathectomy was reviewed to evaluate the operative technique and to determine morbidity and outcomes. SETTING Academic health center. PATIENTS The cohort included 31 patients (22 women and 9 men)....

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Pre-emptive local anesthesia for needlescopic video-assisted thoracic surgery: a randomized controlled trial.

OBJECTIVE Studies in other surgical specialties have suggested that pre-emptive wound infiltration using a local anesthetic may reduce post-operative pain. We report the first randomized trial to assess the use of pre-emptive local anesthesia in video-assisted thoracic surgery (VATS). METHOD Thirty-one consecutive patients undergoing bilateral needlescopic VATS sympathectomy for palmar hyperh...

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Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.

Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic ...

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Vitreoretinal surgery: pre-emptive analgesia.

AIM Vitrectomies are performed either under general anesthesia (GA), local anesthesia (LA), or a combination of both. Postoperative pain is expected to be less in patients with LA because of prolonged action of the local anaesthetic. Pre-emptive analgesia is based on the idea that analgesia initiated before a nociceptive event will be more effective than analgesia commenced afterwards. The auth...

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Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncological lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however, there is no gold standard for regional analgesia for VATS. This systematic review aimed to assess differen...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2010

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2009.07.040